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As described in the present disclosure, a resection guide 820b can be specifically designed for a particular patient. The resection guide 820b is patient-specific. The resection guide 820b facilitates making one or more osteotomies through one or more bones of a midfoot of a patient. In addition, the resection guide 820b assists a surgeon in knowing that a position of a resection guide 820b during surgery is the same or substantially the same as a predetermined position defined earlier. In one embodiment, the predetermined position is a position that has been defined and/or confirmed and/or agreed to by the surgeon using the bone model 404 and/or a model of the resection guide 820b. In the system 400, for example, a surgeon can use a registration module 440 to register a preliminary model of the resection guide 820b to one or more bones of the bone model 404. Using the apparatus 402, a surgeon can leverage a patient-specific model of one or more bones of a patient and a model of the resection guide 820b to define one or more patient-specific bone engagement features for the resection guide 820b. In this manner, the predetermined position includes a position on one or more bones of a patient. The predetermined position may be defined preoperatively using a model of a resection guide and a bone model.

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